ENDOCRINE ACTIVITIES

Question 1

The physician prescribes a corticosteroid. How will this category of medication be most beneficial to Marie?

Answer 1

anti inflammatory

Question 2

The physician explains that side effects of the corticosteroid may include:

Answer 2

Increased susceptibility to infection

Question 3

Prior to handing Marie her prescription, the physician reviews her medication history. He knows this is essential because of possible interactions with corticosteroids. Which drug may cause an interaction resulting in reduced effectiveness of the corticosteroid?

Answer 3

Phenytoin

Question 4

When Marie picks up her corticosteroid medication at the pharmacy, she reads the label on the side of the bottle containing instructions on when to take her medication. Which of the following is most likely to be on this label?

Answer 4

Take 1 h after meals.

Question 5

Marie will be taking her medication for a prescribed amount of time. What will be the best method to discontinue her corticosteroid?’

Answer 5

Slowly taper the dosage

Question 6

The physician starts him on glyburide, a sulfonylurea medication. He exp lains to Marcus that sulfonylureas work by:

Answer 6

Increasing insulin production from the pancreas

Question 7

The physician explains to Marcus that one of the side effects of a sulfonylurea medication is:

Answer 7

Fatigue

Question 8

Prior to prescribing the medication, the physician reviews Marcus’s medical
history. This is because sulfonylureas must De used with extreme caution in individuals who:

Answer 8

Have impaired kidney and liver function

Question 9

The physician cautions Marcus to call him prior to taking any other medication because of possible interactions. Which drug can potentiate the hypoglycemic effect of a sulfonylurea?

Answer 9

Quinolones

Question 10

What drug causes n interaction with sulfonylureas, resulting in an antagonistic action in which a larger dose may be required

Answer 10

Corticosteroids

Question 11

The biguanide that decreases hepatic glucose production and enhances insulin uptake is which of the following?

Answer 11

Glucophage

Question 12

NTs are characterized by which of the following?

Answer 12

They have a small range at which they are safe and effective.

Question 13

A patient who is on a thyroid medication should be monitored for which potential side effect?

Answer 13

Hyperglycemia

Question 14

Thyroid medication should be taken

Answer 14

an empty stomach 30-60 min prior to breakfast

Question 15

Insulin is administered parenterally because

Answer 15

It is destroyed in the Gl tract

Question 16

To prevent a medication error, an insulin dose in a syringe:

Answer 16

Should be verified by another clinician

Question 17

What best describes the onset and duration of action of regular insulin?

Answer 17

Rapid onset and short duration

Question 18

The peak of rapid-acting insulins falls under which time frame postinjection?

Answer 18

1-5h

Question 19

What is one of the most likely symptoms of hyperglycemia?

Answer 19

Excessive thirst

Question 20

Which of the following may potentiate the hypoglycemic effect of insulin?

Answer 20

Alcohol

Question 21

Which preparation of insulin is used to correct elevated blood glucose?

Answer 21

Lispro

Question 22

Illness, increased stress, or trauma may have what effect on a prescribed dose of insulin?

Answer 22

More insulin may be required.

Question 23

Which of the following is the main type of side effect observed with SGLT inhibitors?

Answer 23

Urinary

Question 24

In what scenario would steroid tapering be most important when discontinuing corticosteroid therapy?

Answer 24

When oral therapy exceeds 14 consecutive days at a dose of 20 mg of prednisone (or equivalent) per day or more

Question 25

Thyroid replacement therapy, like levothyroxine, should be taken when?

Answer 25

First thing in the morning on an empty stomach.